Promoting sustainable telehealth services ...     a Call to Arms   Telehealth Symposium Workshop              22 Feb 2012
Workshop Outline ...            • Terms of              Reference (ToR)            • Current activity            • Action ...
ToR – Why NZTFWe are a clinically focused group seeking                  to make a difference by: • Promoting the use of  ...
ToR - Scope…                                             Telemedicine                                           (interacti...
ToR - Structure                   Chair (TBA)             Telehealth Leadership                    Group               Adv...
Telehealth supports NHITB’s      integrated care initiatives    Telehealth touchpoints & enablers                         ...
Current activity  A broad range across  both islands:  • Established services  • Emerging services  • Pilots  • Randomised...
Telemedicine in NZ – store & forward                       Teleradiology                       imaging and diagnosis - pub...
Telemedicine in NZ – Videoconferencing               MoH & DHBs education and admin meetings               Northland DHB T...
Telemedicine in NZ - Videoconferencing                          Mental Health Network                          training, m...
Telemonitoring* in NZ                             Most trials are for patients with                             COPD/CVD: ...
mHealth in NZe.g. University of Auckland • STOMPSmoking Cessation trials • STUB IT (young people)                         ...
Interactive Portals in NZ      www.depression.org.nz   13
Other Telehealth in NZ   Telecare - Medical Alarms   30+ approved providers – St John is the largest   Helplines   Ministr...
Action Plan     • Strategic imperatives     • Priorities     • Workstreams     • Timeline     • Working groups            ...
Strategic Imperatives      • Position telehealth as an enabler of core        clinical practice strategies      • Leverage...
What are the Forum’s Priorities?           • Support for              – small hospitals and integrated                care...
Workstreams  • Operations Centre   including Secretariat,   communications, consulting,   financial sustainability  • Stra...
Work Programme       Operations          Strategic Imperatives             Project        Centre            Developing the...
Working Groups   Standards & guidelines   • Technical standards, e.g.     National Connected Health   • Practice guideline...
Standards – Connected HealthRequirement for VC Standards in Tiers 2 and 3                                                21
Working Groups – what else?     • What is holding us back?       • Policy       • Funding       • Technology       • Clini...
What’s next?Survey:• Ideas and / or  commitment to  participate• Outcome to be  tabled with TLGWe’ll be in touch!!        ...
For more information visit:http://www.ithealthboard.health.nz/content/new-zealand-telehealth-forumContact:Principal Consul...
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Promoting Sustainable Telehealth Services

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Promoting Sustainable Telehealth Services

  1. 1. Promoting sustainable telehealth services ... a Call to Arms Telehealth Symposium Workshop 22 Feb 2012
  2. 2. Workshop Outline ... • Terms of Reference (ToR) • Current activity • Action plan & discussion 2
  3. 3. ToR – Why NZTFWe are a clinically focused group seeking to make a difference by: • Promoting the use of telehealth as a powerful enabler of change in healthcare delivery • Ensuring that telehealth is on the agenda for national & regional strategies, and, most importantly... • Instigating, supporting & participating in trailblazing telehealth deployments 3
  4. 4. ToR - Scope… Telemedicine (interactive / store &eHealth forward) Telehealth Telemonitoring mHealth Telecare Help Lines (alarms) Interactive Portals Robotics Scope for NZ Telehealth Forum 4
  5. 5. ToR - Structure Chair (TBA) Telehealth Leadership Group Advice and “Doing” Executive (interim) Strategy, Decision Making, Commercial Operations Centre Secretariat Communications Consulting 5
  6. 6. Telehealth supports NHITB’s integrated care initiatives Telehealth touchpoints & enablers Patient Vitals Shared E-events Care Care Plans Decision SupportPhase 2 (5 years)Phase 1 (2 years) Clinical Data Repository Medicine Reconciliation GP2GP Referral Primary - Secondary Continuum of Care Community - Tertiary National Discharge Speciality ePrescribing Systems Clinical content is needed for effective Telehealth 6
  7. 7. Current activity A broad range across both islands: • Established services • Emerging services • Pilots • Randomised control trials 7
  8. 8. Telemedicine in NZ – store & forward Teleradiology imaging and diagnosis - public and private, incl. support for rural centres & out of hours Teledermoscopy imaging and diagnosis • public-private collaboration (Molemap NZ & Waikato DHB) for Virtual Lesion Clinics • private (Molemap)Source: Molemap NZ 8
  9. 9. Telemedicine in NZ – Videoconferencing MoH & DHBs education and admin meetings Northland DHB Telerenal clinics - Whangarei to BoI, Kaitaia and ADHB radiology Waikato DHB Teledermatology clinics – Hamilton to Taranaki DHB pts Canterbury DHB to West Coast Outpatient clinics - paediatrics, oncology, etc. West Coast DHB Outpatient clinics Greymouth to Westport - gen’l surgery, methadone, nutrition, speech therapy etc Most activity on the Vivid Solutions Network (Telepaeds) 9
  10. 10. Telemedicine in NZ - Videoconferencing Mental Health Network training, meetings, court proceedings (Waitemata, Northland, South Island) Source: Polycom Multidisciplinary Meetings (MDMs) regional cancer networks* and others - multi-point VCs for case management involving specialists (radiologists, pathologists, surgeons, clinical nurse specialists, physicians) Mobile Surgical Services (MSS) mobile operating theatre, virtual Source: MSS assistance, rural teaching *planned for 1-2Q 2012 10
  11. 11. Telemonitoring* in NZ Most trials are for patients with COPD/CVD: Completed • ADHBSource: One News • Taupo / Turangi • St John / Hawkes Bay PHO In progress • Univ. of Akld – ASSET (ADHB, Counties, Tairawhiti / Ngati Porou) • Eastern Bay of Plenty * aka “telehealth” 11
  12. 12. mHealth in NZe.g. University of Auckland • STOMPSmoking Cessation trials • STUB IT (young people) 12
  13. 13. Interactive Portals in NZ www.depression.org.nz 13
  14. 14. Other Telehealth in NZ Telecare - Medical Alarms 30+ approved providers – St John is the largest Helplines Ministry of Health Healthline 24/7 advice (with St John), Quitline, Gambling, Plunket, et al Robotics U of Auckland Trial Selwyn Village – monitoring of falls and medication remindersSource: St John 14
  15. 15. Action Plan • Strategic imperatives • Priorities • Workstreams • Timeline • Working groups 15
  16. 16. Strategic Imperatives • Position telehealth as an enabler of core clinical practice strategies • Leverage the existing evidence base (and develop more where needed) • Gain clinical buy-in through education (at all levels) • Elevate on regional and national agendas • Move from pilots and local services to broad deployments • Coordinate nationally and regionally, but encourage local innovation 16
  17. 17. What are the Forum’s Priorities? • Support for – small hospitals and integrated care centres – in home monitoring – better quality videoconferencing for clinicians and clinical networks • Standards for telehealth services 17
  18. 18. Workstreams • Operations Centre including Secretariat, communications, consulting, financial sustainability • Strategic Imperatives addressing the barriers and enablers • Projects sector strategies, implementations, evaluations 18
  19. 19. Work Programme Operations Strategic Imperatives Project Centre Developing the enablers opportunities• Secretariat (TLG Working Groups • MDMs (in progress) support) Sector participation • Small hospitals• Reporting • Standards & Guidelines • Regional strategies• Comms • Others, tba • Home monitoring (including website) • Teleradiology • Teledermatology, etc. 19
  20. 20. Working Groups Standards & guidelines • Technical standards, e.g. National Connected Health • Practice guidelines, e.g.  Outpatient services via VC  Home monitoring • Recommended configurations Needs to be scoped Will collaborate with HISO 20
  21. 21. Standards – Connected HealthRequirement for VC Standards in Tiers 2 and 3 21
  22. 22. Working Groups – what else? • What is holding us back? • Policy • Funding • Technology • Clinical attitudes / medico legal • Reimbursement • What can we do that will make a difference? • How could we structure this? Subject matter based and / or geographic? 22
  23. 23. What’s next?Survey:• Ideas and / or commitment to participate• Outcome to be tabled with TLGWe’ll be in touch!! 23
  24. 24. For more information visit:http://www.ithealthboard.health.nz/content/new-zealand-telehealth-forumContact:Principal Consultant Pat Kerr pat @telehealthnz.co.nzInterim Chair Malcolm Pollock m.pollock@auckland.ac.nzProject Co-ordinator Terri Hawke t.hawke@auckland.ac.nz

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